@sueinmn Very similar routine! I also use Fluticasone (Flonase) a.m and p,m, as well as Azalastine same times. I am allergic to every type of grass and living in FL I have taken daily allergy meds for years (changing brand every year). Did allergy shorts starting last summer to try to reduce the reaction in my lungs. We also added a large HEPA filter (Blue Air brand) in the living room and a mini HEPA in my bedroom.
I used to use a Neti pot for recurring sinus infections but discontinued due to worries about water quality (plus since adding daily Flonase I’ve only had 1 sinus infection in 10 years).
Lesson learned that during allergy season I can’t back off on airway clearance routine. I stopped for a week before last sputum test in hopes of getting something up to test, then never started back up seeing how I did. It took about 3 weeks (and allergies) to start coughing up stuff in mornings. So now back to daily clearance.
**just a note if anyone wonders: I’ve never done the big 3, infection has always grown “few” with only one time in lower right lobe (from bronc) growing ‘many’.

@sueinmn I also do several things to safeguard my sinuses and breathing. I use two sprays of fluticasone nasal spray in each nostril, I take two Mucinex daily, and I do a nasal rinse every day at bedtime. I also take a cetirizine every night at bedtime. The combination of all those -- in addition to my twice daily breathing treatments -- has worked pretty well for me thus far.

@sueinmn
I can no longer use flonase due to my nosebleed problem. When allergens are particularly bad I will do a sinus rinse with saline and a squeeze bottle (Neilmed or Guru Nanda) after time outdoors. Seems to rinse out pollen and stuff.